Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $22.06 / $81.01	Facility		$12.20	$22.06	$81.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.74 / $14.97	Professional		$12.20	$13.74	$14.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $10.94	Professional		$9.46	$9.46	$10.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $24.40 / $28.58	Professional		$11.82	$24.40	$28.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $34.64 / $72.22	Facility		$11.02	$34.64	$72.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $12.93 / $22.72	Professional		$10.17	$12.93	$22.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.67 / $12.61	Professional		$6.30	$8.67	$12.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $8,702.00 / $13,785.00	Facility		$11.03	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $14.49	Professional		$11.03	$11.03	$14.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $8.67 / $8.67	Facility		$8.67	$8.67	$8.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $9.46 / $23.35	Professional		$6.10	$9.46	$23.35